Healthcare Provider Details

I. General information

NPI: 1255863882
Provider Name (Legal Business Name): LAUREN ASHLEY BARBER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2017
Last Update Date: 07/08/2024
Certification Date: 06/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E BROAD ST
RICHMOND VA
23219-1928
US

IV. Provider business mailing address

VIRGINIA COMMONWEALTH UNIVERSITY BOX 980153
RICHMOND VA
23298-0153
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-7929
  • Fax: 804-828-4762
Mailing address:
  • Phone: 804-828-1653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number91738
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number0101281216
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: